De Martel had told friends about his son’s death in the Great War and his subsequent vow never to speak to any German. The writer Jacques Bernard insisted to Georges Duhamel, whom he had succeeded as editor of the journal Mercure de France, that de Martel’s son had killed himself, possibly as a result of war trauma: ‘There is a kind of reverse heredity, the son’s act operating on the father, the same moral defect.’ Thomas Kernan, the American editor of Vogue magazine in France, believed that de Martel had cancer. De Martel was a complex man, a philanthropist and yet a member of right-wing, anti-German and anti-Jewish political groups like Action Française. But writer André Maurois, born Émile Salomon Wilhelm Herzog in 1885 to Jewish parents who had left Alsace when the Germans occupied it in 1870, detected no anti-Semitism in his friend. Maurois and his wife would learn of de Martel’s suicide more than a week afterwards, when their New York-bound Pan American Airlines Dixie Clipper from Lisbon stopped to refuel in the Azores. Reading the news in the American papers, Maurois reflected,
In him we lost an incomparable friend, and France one of the noblest types she has bred. This surgeon was a great gentleman. He had made fortunes and used them to support free clinics in which he operated on thousands of unfortunates. I know of a case in which he saved from death, by an operation that he alone could perform, a man who had pursued him for years with jealousy and hatred. He had proved on a thousand occasions his physical and moral courage.
Dr Thierry de Martel’s suicide was one of fourteen recorded in Paris on 14 June, but it received more coverage than the others when the Parisian press resumed publication four days later. Under the headline, ‘Death of Dr de Martel’, Le Matin reported that one of his relatives, on hearing a false rumour of his death, called the doctor’s house. Believing a servant had answered, he asked for the date of the funeral. ‘The surgeon, who was at the end of the line, responded, “I don’t know yet, but I’ll tell you when I’m dead.”’ The funeral, attended by his medical colleagues, took place on Sunday, 16 June. His loss created havoc at the American Hospital of Paris, where other doctors had depended on his leadership as much as the patients did on his surgical expertise. Direction of war surgery fell to de Martel’s colleague and friend, a modest genito-urinary specialist from Maine, Dr Sumner Waldron Jackson.
Dr Jackson was a model of the tall, strong and silent Yankee. Born in Spruce Head on the rocky shore north of Portland, Maine, on 7 October 1885, he stood 6 feet and 1 inch tall. His sky blue eyes contrasted with heavy, dark eyebrows. As a youngster, he had worked on farms and in quarries. His rugged looks and powerful physique marked him as an outdoorsman of the harsh American northeast. A Frenchwoman who fell in love with him remembered him striding out of a lake: ‘He wore only a brief bathing slip and at a distance he looked like one of the heroes of a Fenimore Cooper novel.’ Having worked his way through Maine’s Bowdoin College and Jefferson Medical School in Philadelphia, he served his internship at Massachusetts General Hospital in Boston. His next post was with the Harvard Group of volunteers, well-bred young Americans who joined the British Army in 1916. He arrived in France as a field surgeon in time to treat thousands of casualties thrown up by the Second Battle of the Somme. The five-month engagement inflicted bullet and shrapnel wounds, burned flesh, gangrene, trench fever, gas poisoning and the gueule cassée or broken face that left men without jaw, cheek or eye socket. Doctors frequently lacked pain-killers or anaesthetics for major surgery, and the medical use of antibiotics had yet to be discovered. Jackson dealt with all types of wound, and he achieved the respect of his British colleagues for his steady work under impossible circumstances.
A year after Jackson’s arrival in France, the United States armed forces joined the Allied cause. Captain Sumner Jackson transferred from the British Army to the American as a lieutenant. One of the few American physicians with modern battlefield surgery experience, he was posted to American Red Cross Hospital Number Two in Paris to treat severely wounded men brought back from the trenches. Jackson met a French Red Cross nurse, Charlotte Sylvie Barrelet de Ricout, and stole a first kiss from her in a linen cupboard. Charlotte had taken up nursing when the war began in 1914. Her lawyer father and her mother were Swiss Protestants, who had settled in France. She loved playing tennis and sailing on a lake near Paris at Enghien-les-Bains, where her family had a holiday house. Jackson called her by her family’s pet name, Toquette, and she called him Jack. Jack had just turned 32 when he married 27-year-old Toquette on 19 November 1917. Nine months after the Armistice of November 1918, the couple sailed to the United States.
When Jackson left the army in September 1919, he and his war bride went from Fort Dix to Spruce Head, Maine, the hometown he had left in 1905 for Bowdoin College, medical school and France. The people of Maine were famously hardy and insular. Most of them voted Republican and minded their own business, and few had been as far from home as Europe. Toquette felt unwelcome. Jackson’s experiences of France and war had alienated him from his New England roots. Before the icy winter set in, the couple moved to Philadelphia for Jackson to take up a medical practice. Somehow, they did not fit. The infamous Palmer Raids that deported aliens for their political opinions exposed a streak of American xenophobia, and the new prohibition on alcohol seemed silly to a couple used to wine with dinner. Jackson wrote to the director of the American Hospital of Paris, Dr Edmund Gros, to inquire about employment. Dr Gros, who had met Jackson during the war, replied that he would be welcome. However, French law required foreign doctors to obtain a French high school diploma, the baccalauréat, and earn a French medical degree. For a 36-year-old physician with his experience it would be difficult to sacrifice four years of his professional life. Dr Gros told him that another American physician who had worked in France during the war, Dr Charles Bove, had taken his baccalauréat and was studying at the École de Médecine in Paris. Jackson agreed to do the same. He and Toquette sailed to France in September 1921.
Jackson studied French with a 30-year-old tutor named Clemence Bock. Despite hard work by teacher and student, Jackson failed the philosophy section of the syllabus and thus did not qualify for medical school. The Jacksons went to Algiers, where he could take the examination again under a regime that was said to be somewhat easier. After nine months of study in Algeria, Jackson passed the exams and was admitted to the École de Médecine in Paris. Two years later, he successfully defended his thesis, moved into an apartment at 11 avenue Foch in the expensive 16th Arrondissement and began work as a surgeon and urologist at the American Hospital.
‘This hospital is a little bit of the United States right here in Paris, Bove,’ Dr Edmund Gros had told Dr Charles Bove a few years before. When Jackson went to work there in 1925, its leading medical practitioners were Dr Gros and Dr Thierry de Martel. The little hospital that admitted its first patient in 1910 had served the French and American armies in wartime, when medical tents covered its expansive gardens. Its American Ambulance Service became United States Military Hospital Number One, treating American casualties from the battles at Château-Thierry and the Argonne. Since the war and the post-war influx of Americans to Paris, it had outgrown its original confines at the corner of the boulevard du Château and rue du Château in Neuilly. The new Memorial Building, designed by American architect Charles Knight, opened next door on boulevard Victor Hugo in May 1926. Looking like a comfortable seaside hotel, the Memorial Building housed 150 patient beds in a central block with two matching wings. The hospital’s charter, signed into American law in January 1913 by President William Howard Taft, required it to offer medical services free to American citizens in France. Wealthy Americans and foreigners, like the kings of Yugoslavia and Spain, paid for private rooms. Indigent